Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE
Coping in Patients With Incurable Lung and Gastrointestinal Cancers: A Validation Study of the Brief COPE
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DOI：
10.1016/j.jpainsymman.2016.06.005
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发表时间：
2017-01-01
影响因子：
4.7
通讯作者：
Temel, Jennifer S.
中科院分区：
文献类型：
--
作者：
Hagan, Teresa L.;Fishbein, Joel N.;Temel, Jennifer S.
上下文无法治愈的癌症患者采用多种应对方式来管理癌症及其治疗的影响。Brief科普是一种广泛使用的衡量标准，旨在捕捉多种不同类型的应对方式。Brief科普尚未在无法治愈的癌症患者中得到验证。我们试图在一个新诊断为不可治愈的肺癌和非结直肠胃肠道癌的大样本患者（N = 350）中验证Brief科普的7个分量表。参与者在诊断为不可治愈的癌症后8周内完成了简短的科普和评估生活质量（QOL）（癌症治疗功能评估）和心理困扰（医院焦虑和抑郁量表）的措施。我们使用验证性因素分析和与生活质量和痛苦量表的相关性测试来评估简明科普的心理测量学特性。虽然行为脱离量表的内部一致性较低，但简明科普因素与原始分量表一致。因素显示预期的关系与生活质量和痛苦的措施，除了情绪支持应对，这与抑郁和焦虑增加。我们还进行了探索性的高阶因子分析，以确定是否子量表的得分方差分组在一起。高阶因子分析结果显示，大学生心理健康状况有两个因子，一个因子为积极、情感支持、积极重构和接纳，另一个因子为否认和自责。简明科普的选定分量表是新诊断为不可治愈的肺癌和胃肠道癌症的个体的适当应对措施。(C)2016年美国临终关怀和姑息医学学会。爱思唯尔公司出版All rights reserved.
Context. Patients with incurable cancer engage in several coping styles to manage the impact of cancer and its treatment. The Brief COPE is a widely used measure intended to capture multiple and distinct types of coping. The Brief COPE has not been validated among patients with incurable cancer.Objectives. We sought to validate seven subscales of the Brief COPE in a large sample of patients newly diagnosed with incurable lung and noncolorectal gastrointestinal cancers ( N = 350).Methods. Participants completed the Brief COPE and measures assessing quality of life (QOL) (Functional Assessment of Cancer TherapydGeneral) and psychological distress (Hospital Anxiety and Depression Scale) within eight weeks of diagnosis of incurable cancer. We evaluated the psychometric properties of the Brief COPE using a confirmatory factor analysis and tests of correlation with the QOL and distress scales.Results. The Brief COPE factors were consistent with the original subscales, although the Behavioral Disengagement Scale had low internal consistency. Factors showed anticipated relationships with QOL and distress measures, except emotional support coping, which was correlated with increased depression and anxiety. We also conducted an exploratory high-order factor analysis to determine if subscales' score variances grouped together. The high-order factor analysis resulted in two factors, with active, emotional support, positive reframing, and acceptance loading onto one factor and denial and self-blame loading onto the second.Conclusion. The selected subscales of the Brief COPE are appropriate measures of coping among individuals newly diagnosed with incurable lung and gastrointestinal cancers. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.